Provider Demographics
NPI:1134477052
Name:ROBINSON, REGINA ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 HIGHWAY 365
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-5506
Mailing Address - Country:US
Mailing Address - Phone:409-722-4321
Mailing Address - Fax:409-722-3966
Practice Address - Street 1:2200 HIGHWAY 365
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-5506
Practice Address - Country:US
Practice Address - Phone:409-722-4321
Practice Address - Fax:409-722-3966
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX606942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily